Panduro-Barón J G, Gamboa R, Gaxiola-Castro R, Acevedo-López J A
División de Ginecología y Obstetricia, Nuevo Hospital Civil de Guadalajara Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara.
Ginecol Obstet Mex. 1996 Sep;64:430-4.
We carried out a prospective study with the object of knowing the frequency of surgical gloves perforation during cesarean section, the member of the surgical team with a major affection and the double gloves importance. We analysed 258 C. section practiced in the Tocosurgery's Service at "Nuevo Hospital Civil de Guadalajara" from September 1993 to January 1994. We used 1052 glove's pairs and we detected 118 perforated pairs (11.2%). The gloves were perforated in one time 60.1%, in two times 26.2%, in three times 6.8%, in four times 1.7% and five times 5.2%. On the other hand, in the he perforated gloves, 74% were simple gloves, while in 26% were double gloves, but only the external glove was perforated. The member of the surgical team with major affectation was the Surgeon with 83%, next the assistant in 13.5% and for last the instrumentist in 3.5%. The left hand was more affected that the right hand. The glove perforations more frequently was done for needle and after for instruments. We concluded that the use of double gloves is correct for a major protection, besides that the C. section must be carefully practiced.
我们进行了一项前瞻性研究，目的是了解剖宫产手术中手术手套穿孔的频率、受影响最大的手术团队成员以及双层手套的重要性。我们分析了1993年9月至1994年1月在“瓜达拉哈拉新市民医院”托科手术服务部进行的258例剖宫产手术。我们使用了1052副手套，检测到118副穿孔手套（11.2%）。手套一次穿孔的占60.1%，两次穿孔的占26.2%，三次穿孔的占6.8%，四次穿孔的占1.7%，五次穿孔的占5.2%。另一方面，在穿孔的手套中，74%是单层手套，而26%是双层手套，但只有外层手套穿孔。受影响最大的手术团队成员是外科医生，占83%，其次是助手，占13.5%，最后是器械护士，占3.5%。左手比右手受影响更大。手套穿孔最常见的原因是针刺，其次是器械。我们得出结论，使用双层手套对于提供更好的保护是正确的，此外，剖宫产手术必须谨慎进行。
